Individual provider Active NPI

Elsayed Awad Hassan, MD

  • Physical Medicine & Rehabilitation Physician
  • Staten Island, NY
National Provider Identifier
1992986624
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
245946 Issued in NY
Practice address
330 Seguine Ave
Staten Island, NY 10309-3941
Phone
(718) 356-9222
Fax
(718) 605-4729
NPI assigned
Nov 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 245946 NY Primary

Addresses

Primary practice location

330 Seguine Ave
Staten Island, NY 10309-3941

Mailing address

63 Ottavio Promenade
Staten Island, NY 10307-2410
Phone (718) 227-0554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000079 NY Practitioner - Physical Medicine and Rehabilitation 8820155989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Medical Rehabilitation Services PLLCGroup PAC ID 8224332390, 3 clinicians
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

Practice addresses (Care Compare)

200 Lafayette Ave
Staten Island, NY 10301-1219
Phone (718) 980-0101

355 Bard Ave
Staten Island, NY 10310-1664

361 Edison St
Staten Island, NY 10306-3058
Phone (718) 980-0101

4434 Amboy Rd
Staten Island, NY 10312-3845
Phone (718) 984-9658

Hospital & facility affiliations

  • Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as apm
Quality
82.91
Promoting interoperability
5.67
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as individual
Quality
100
Improvement activities
20

Merit-based Incentive Payment System (MIPS)

Final score
47.5 of 100Reported as individual
Quality
25
Improvement activities
20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Oct 1, 2009 Accepting new patients
Amboy Medical Practice PC CurrentSince Oct 1, 2009 Accepting new patients
Physical Medicine and Rehabilitation Associates of Staten Island LLP CurrentSince Dec 26, 2010 Accepting new patients
Richmond Medical Rehabilitation Services, PLLC Physical Medicine & Rehabilitation CurrentSince Nov 15, 2015 Accepting new patients
Angels'S Touch Medical Health Care P.C. Past Accepting new patients
Richmond University Medical Center Past Accepting new patients

Locations

691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000

611 E 103rd St
Brooklyn, NY 11236
Phone (718) 240-3100

3015 W 29th St
Brooklyn, NY 11224
Phone (718) 266-5700

361 Edison St
Staten Island, NY 10306
Phone (718) 980-0101

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

191 Bradley Ave
Staten Island, NY 10314
Phone (516) 558-3010

275 Castleton Ave
Staten Island, NY 10301
Phone (718) 447-2829

200 Lafayette Ave
Staten Island, NY 10301
Phone (718) 448-9000

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1992986624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 OTTAVIO PROMENADE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103072410",
            "telephone_number": "718-227-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SEGUINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093941",
            "telephone_number": "718-356-9222",
            "fax_number": "718-605-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "ELSAYED",
        "middle_name": "AWAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "245946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.